摘要
目的:总结改良Konno手术治疗6例肥厚型梗阻型心肌病及文献复习。方法:回顾性分析2003年8月至2009年1月我院6例肥厚型梗阻性心肌病,所有病人胸闷、心悸、心前区疼痛、头晕、晕厥。全部接收改良konno手术,2例同时进行二尖瓣成形术,主动脉阻断时间30～63分钟,平均为47.6分钟。体外循环时间45～96分钟,平均为74.5分钟。结果:手术顺利,无并发症出现,病人康复,平均随访2月～5年,左室流出道压差均小于20mmHg(p<0.01),症状缓解。结论:改良Konno手术能够彻底解除左室流出道梗阻,并发症较少,仍然是肥厚型梗阻性心肌病的最佳治疗方法之一。
Objective：To Summarize the experience of treatment of six patients with Hypertrophic obstructive cardiomyopathy by modified Konno.Methods：We retrospectively analyzed clinical data（chest tightness,palpitations,chest pain,etc.） of 6 patients with hypertrophic obstructive cardiomyopathy（HOC）,who were admitted in our hospital during August 2003-January 2009 and undergone the modified Konno surgery.Among the patients,2 patients were undergone mitral valve repair at the same time.Result： The results showed reduction in thickness of ventricular septum,enlargement of left ventricular outflow tract and decrease of gradients across the outflow tract.All patients were healing without any complication.The follow-up time was from 2 months to 5 years.The gradients across the outflow tract were less than 20mmHg（p〈0.01）.Conclusion：The modified Konno surgery can thoroughly remove the obstruc-tion of left ventricular outflow,with fewer complications,which is one of best therapeutic method for HOC.
出处
《现代生物医学进展》
CAS
2010年第22期4271-4272,共2页
Progress in Modern Biomedicine
